| NPI | 1528773975 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BRITTANY AUDREY MISKIMINS Owner/Physical Therapist 307-217-3781 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225100000X Physical Therapist |
| Enumeration Date | 2023-01-19 |
| Last Update Date | 2024-11-23 |